| NPI | 1437669595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014175) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1744576) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP001288) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-03-15 |